Both groups signed off on a press release yesterday saying, in effect, that unless a medical professional has a medical reason for not getting the flu shot, refusal should be grounds for dismissal. Or not hiring you at all.

Harsh and, maybe, necessary. The CDC last spring found 38.1% of health care providers did not get the flu shot last year, and two-thirds refused protection against H1N1. Last year saw a record high for medical personnel vaccinations.

IDSA president Dr. Richard Whitley put it pretty bluntly:

"Vaccination of health care personnel saves patients' lives and reduces illness. It also protects the individual worker from falling ill during influenza outbreaks and from missing work, which further impacts patient care."

There are already moves afoot in the direction of mandating shots, the Los Angeles Times reports. SHEA President Dr. Neil Fishman says most of the opposition is much ado about nothing:

"I think there's a vocal minority that have protested, but if you look around the country, very few people have actually ended up losing their jobs over the policy [where it exists]. I think generally what I've seen is the policy is well accepted."

In other words, people scream bloody murder until the policy is before them, and then they go along. A Seattle medical center that made shots mandatory starting in 2005 got a 98% compliance rate.

The most recent post by Dr. Joseph Mercola, another noted vaccine opponent, involves microwave ovens, not vaccines. Neither Dr. Kent Holtorf, who last year told Fox the vaccine was "more dangerous than swine flu," nor Dr. Lawrence Palevsky, who issued a video call against vaccinations last year, had commented as this was written.

The striking of MMR vaccine opponent Dr. Andrew Wakefield from the medical register in England should be unrelated, but it's possible it has had a chilling effect.